Provider Type: Laboratories
Provider Classification: Clinical Medical Laboratory
Definition of Specialization:
Address: 647 Camino De Los Mares
Suite 223
San Clemente, CA 92673-2807
Phone: (949) 487-5100
Fax: (949) 487-7065
Authorized Official: Dr. Hirose, Thomas G., M.D,
Authorized Official Position: President
Authorized Official Phone: (949) 487-5100

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